Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth diseases from 2010 to 2019 in Zibo city, Shandong, China
Abstract Background Hand-foot-mouth disease (HFMD) is a global public health issues, especially in China. It has threat the health of children under 5 years old. The early recognition of high-risk districts and understanding of epidemic characteristics can facilitate health sectors to prevent the oc...
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doaj-95ee7d0c70ec4a3ea0e4da9311da1af42021-09-12T11:15:02ZengBMCBMC Public Health1471-24582021-09-0121111010.1186/s12889-021-11665-0Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth diseases from 2010 to 2019 in Zibo city, Shandong, ChinaLili Liu0Ling Wang1Chang Qi2Yuchen Zhu3Chunyu Li4Yan Jia5Kaili She6Tingxuan Liu7Yan Zhang8Feng Cui9Xiujun Li10Department of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong UniversityInstitute for Infectious Disease Control and Prevention, Zibo Center for Disease Control and PreventionDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong UniversityDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong UniversityDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong UniversityDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong UniversityDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong UniversityDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong UniversityInstitute for Infectious Disease Control and Prevention, Zibo Center for Disease Control and PreventionZibo Center for Disease Control and PreventionDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong UniversityAbstract Background Hand-foot-mouth disease (HFMD) is a global public health issues, especially in China. It has threat the health of children under 5 years old. The early recognition of high-risk districts and understanding of epidemic characteristics can facilitate health sectors to prevent the occurrence of HFMD effectively. Methods Descriptive analysis was used to summarize epidemic characteristics, and the spatial autocorrelation analysis and space-time scan analysis were utilized to explore distribution pattern of HFMD and identify hot spots with statistical significance. The result was presented in ArcMap. Results A total of 52,095 HFMD cases were collected in Zibo city from 1 Jan 2010 to 31 Dec 2019. The annual average incidence was 129.72/100,000. The distribution of HFMD was a unimodal trend, with peak from April to September. The most susceptible age group was children under 5 years old (92.46%), and the male-to-female ratio is 1.60: 1. The main clusters were identified in Zhangdian District from 12 April 2010 to 18 September 2012. Spatial autocorrelation analysis showed that the global spatial correlation in Zibo were no statistical significance, except in 2012, 2014, 2015, 2016 and 2018. Cold spots were gathered in Boshan county and Linzi district, while hot spots only in Zhangdian District in 2018, but other years were no significance. Conclusion Hot spots mainly concentrated in the central and surrounding city of Zibo city. We suggest that imminent public health planning and resource allocation should be focused within those areas.https://doi.org/10.1186/s12889-021-11665-0Hand-foot-mouth diseaseSpace-time clusteringAutocorrelation analysisSpatial epidemiologyShandong province |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lili Liu Ling Wang Chang Qi Yuchen Zhu Chunyu Li Yan Jia Kaili She Tingxuan Liu Yan Zhang Feng Cui Xiujun Li |
spellingShingle |
Lili Liu Ling Wang Chang Qi Yuchen Zhu Chunyu Li Yan Jia Kaili She Tingxuan Liu Yan Zhang Feng Cui Xiujun Li Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth diseases from 2010 to 2019 in Zibo city, Shandong, China BMC Public Health Hand-foot-mouth disease Space-time clustering Autocorrelation analysis Spatial epidemiology Shandong province |
author_facet |
Lili Liu Ling Wang Chang Qi Yuchen Zhu Chunyu Li Yan Jia Kaili She Tingxuan Liu Yan Zhang Feng Cui Xiujun Li |
author_sort |
Lili Liu |
title |
Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth diseases from 2010 to 2019 in Zibo city, Shandong, China |
title_short |
Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth diseases from 2010 to 2019 in Zibo city, Shandong, China |
title_full |
Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth diseases from 2010 to 2019 in Zibo city, Shandong, China |
title_fullStr |
Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth diseases from 2010 to 2019 in Zibo city, Shandong, China |
title_full_unstemmed |
Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth diseases from 2010 to 2019 in Zibo city, Shandong, China |
title_sort |
epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth diseases from 2010 to 2019 in zibo city, shandong, china |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2021-09-01 |
description |
Abstract Background Hand-foot-mouth disease (HFMD) is a global public health issues, especially in China. It has threat the health of children under 5 years old. The early recognition of high-risk districts and understanding of epidemic characteristics can facilitate health sectors to prevent the occurrence of HFMD effectively. Methods Descriptive analysis was used to summarize epidemic characteristics, and the spatial autocorrelation analysis and space-time scan analysis were utilized to explore distribution pattern of HFMD and identify hot spots with statistical significance. The result was presented in ArcMap. Results A total of 52,095 HFMD cases were collected in Zibo city from 1 Jan 2010 to 31 Dec 2019. The annual average incidence was 129.72/100,000. The distribution of HFMD was a unimodal trend, with peak from April to September. The most susceptible age group was children under 5 years old (92.46%), and the male-to-female ratio is 1.60: 1. The main clusters were identified in Zhangdian District from 12 April 2010 to 18 September 2012. Spatial autocorrelation analysis showed that the global spatial correlation in Zibo were no statistical significance, except in 2012, 2014, 2015, 2016 and 2018. Cold spots were gathered in Boshan county and Linzi district, while hot spots only in Zhangdian District in 2018, but other years were no significance. Conclusion Hot spots mainly concentrated in the central and surrounding city of Zibo city. We suggest that imminent public health planning and resource allocation should be focused within those areas. |
topic |
Hand-foot-mouth disease Space-time clustering Autocorrelation analysis Spatial epidemiology Shandong province |
url |
https://doi.org/10.1186/s12889-021-11665-0 |
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